Patho HESI Questions and Answers (2022/2023) Passed with 100%
Which type of immune preparation, made from donated blood, contains antibodies that provide passive immunity?Toxoid Killed vaccine Live attenuated vaccine Specific Immune Globulin ✔✔Specific immune globulins contain a high concentration of antibodies directed at specific antigens. Toxoid vaccines contain a bacterial toxin that has been changed to a nontoxic form. Killed vaccines contain killed microbes or isolated microbes. Live attenuated vaccines are composed of live microbes that have been weakened or rendered completely avirulent.
Which preparations use toxoids but not live viruses? Select all that apply.Rotarix Varivax
M-M-R II
PEDIARIX 1 / 4
DAPTACEL ✔✔PEDIARIX consists of diphtheria and tetanus toxoids plus inactivated bacterial components of pertussis, inactive viral antigen of hepatitis B, and inactivated poliovirus vaccine.DAPTACEL is a preparation consisting of toxoids plus inactive bacterial and viral components of diphtheria and tetanus toxoids and acellular pertussis vaccine. Rotarix, Varivax, and M-M-R II are preparations containing live viruses.
A 5-year-old child is being given dactinomycin and doxorubicin therapy after nephrectomy for Wilms tumor. What will the nursing care include?Administering aspirin for pain Offering citrus juices with meals Ensuring meticulous oral hygiene Eliminating spicy foods from the diet ✔✔Oral hygiene is essential, especially during the administration of medications that have a negative effect on the oral mucosa. Although pain may be present, aspirin is avoided because doxorubicin is also being used, and a side effect of this medication is thrombocytopenia. Aspirin is contraindicated for children because it is associated with Reye syndrome. Citrus juice will aggravate stomatitis, which is a common side effect of dactinomycin. Spicy foods may aggravate the stomatitis that occurs with chemotherapy.However, usually any food that the child requests is permitted.
A child with acute lymphoid leukemia is started on a chemotherapy protocol that includes prednisone. What side effect of this medication does the nurse anticipate? 2 / 4
Alopecia Anorexia Weight loss Mood changes ✔✔Mood swings may result from steroid therapy. Alopecia does not result from steroid therapy. An increased appetite, not anorexia, results from steroid therapy. Weight gain, not weight loss, results from steroid therapy.
Which statement is true regarding antipsychotic drugs?
- All first- and second-generation antipsychotics are equally effective.
- Second-generation antipsychotics pose a risk of extrapyramidal symptoms.
- First-generation antipsychotics pose a significant risk of metabolic side effects.
- Clozapine is more effective than other second-generation antipsychotics. ✔✔D. Clozapine is
more effective than other second-generation antipsychotics.
Which statement about psychotherapeutic drugs in elderly clients requires correction?
Tricyclic antidepressants may increase anxiety in elderly clients.Normal dosage of lithium may result in lithium toxicity in elderly clients. 3 / 4
Elderly clients on antipsychotic drugs are susceptible to orthostatic hypotension.Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs. ✔✔Low serum levels of the drug are reported in elderly clients on psychotherapeutic drugs.
What is the best drug of choice for treating obsessive-compulsive disorder?
Imipramine Lithium salts Amitriptyline Clomipramine ✔✔Clomipramine is a tricyclic antidepressant drug prescribed for treating of obsessive-compulsive disorder. Childhood enuresis necessitates the administration of imipramine. Lithium salt is prescribed to treat bipolar disorders. Dysthymias can be treated by the administration of antidepressant drugs such as amitriptyline.
A client with a history of methamphetamine use is admitted to the medical unit. What clinical manifestation does the nurse expect when assessing the client?
- Constricted pupils
- Intractable diarrhea
- Increased heart rate
- / 4